<include file="header" />
<body class="bind-bg">
<div class="wraper" js="wapjs/nskj/js/usermachine">
    <div class="tips text-center">
        <p class="text-16">您好</p>
        <p>为了方便使用，请先绑定您的账户信息</p>
    </div>
    <div class="bind-form">

        <div class="form-list clearfix">
            <div class="form-icon pull-left"><span class="iconfont icon-person text-blue"></span></div>
            <div class="form-input pull-left"><input id="name" placeholder="请输入您的姓名"/></div>
        </div>

        <div class="form-list clearfix">
            <div class="form-icon pull-left"><span class="iconfont icon-phone text-blue"></span></div>
            <div class="form-input pull-left"><input id="mobile" placeholder="请输入您的手机号码"/></div>
        </div>

        <div class="form-list clearfix">
            <div class="form-icon pull-left"><span class="iconfont icon-phone text-blue"></span></div>
            <div class="form-input pull-left"><input id="address" placeholder="请输入您的地址"/></div>
        </div>

        <div class="form-list clearfix">
            <div class="form-icon pull-left"><span class="iconfont icon-person text-blue"></span></div>
            <div class="form-input pull-left"><input id="serial" placeholder="序列号" readonly="readonly"/></div>
        </div>

        <div class="form-list clearfix">
            <div class="form-icon pull-left"><span class="iconfont icon-phone text-blue"></span></div>
            <div class="form-input pull-left"><input id="distr_name" placeholder="经销商姓名" readonly="readonly"/></div>
        </div>

        <div class="form-list clearfix">
            <div class="form-icon pull-left"><span class="iconfont icon-phone text-blue"></span></div>
            <div class="form-input pull-left"><input id="distr_mobile" placeholder="经销商手机" readonly="readonly"/></div>
        </div>

        <a href="#" class="btn bg-blue text-center confirm">确定</a>
    </div>
</div>
<include file = "footer"/>